Madhyamanchal is the top region by number of municipalities/metropolitan/submetropolitan in Nepal. As of 2009, number of municipalities/metropolitan/submetropolitan in Madhyamanchal was 20 that accounts for 34.48% of Nepal's number of municipalities/metropolitan/submetropolitan. The top 5 regions (others are Purwanchal, Pashchimanchal, Sudur Pashchimanchal, and Madhya Pashchimanchal) account for 100.00% of it. Nepal's total number of municipalities/metropolitan/submetropolitan was estimated at 58 in 2009.